Avecina Medical, PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

AVECINA MEDICAL, PA

Practice address

2020 Kingsley Ave
Orange Park, FL 32073-5181

Phone

(904) 458-4013

Fax

(904) 579-4289

NPI assigned

Aug 31, 2021

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

AVECINA MEDICAL, PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Moretti Kight

Title

Billing Manager

Phone

(904) 367-3372

Specialties & licenses 1

Addresses

Part of

Avecina Medical PA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmer Syed Ahmed, APRN, FNP-C

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1801582028
  NPD
• Michael Drew Kight, P,A.

  • Medical Physician Assistant
  • Jacksonville, FL
  • NPI 1518119361
  NPD
• Kevan Wright, FNP-BC

  • Nurse Practitioner
  • Jacksonville, FL
  • NPI 1538897855
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1063180644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 SWEETGRASS PL STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240131",
            "telephone_number": "904-367-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735181",
            "telephone_number": "904-458-4013",
            "fax_number": "904-579-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVECINA MEDICAL, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVECINA MEDICAL, PA",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MORETTI KIGHT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "904-367-3372"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Binta Margaret Audu Onyibe
• Kathi A. Aultman, M.D.
• Nicole Aust
• Takeyah Austin
• Teresa Dawn Austin, MS CCC/SLP
• Jaime Avila
• Andrew Awad, DMD
• Awakening Counseling & Coaching Inc.
• Awakening Counseling Services
• Adam Awwad, MD

• Urgent Care Clinic/Center in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.